Amalgamated Benefits jobs in White Plains, NY - 2925 jobs

About Judi Health Judi Health is an enterprise health technology company providing a comprehensive suite of solutions for employers and health plans, including: Capital Rx, a public benefit corporation delivering full-service pharmacy benefit management (PBM) solutions to self-insured employers, Judi Health, which offers full-service health benefit management solutions to employers, TPAs, and health plans, and Judi, the industry's leading proprietary Enterprise Health Platform (EHP), which consolidates all claim administration-related workflows in one scalable, secure platform. Together with our clients, we're rebuilding trust in healthcare in the U.S. and deploying the infrastructure we need for the care we deserve. To learn more, visit **************** Location: Remote (For Non-Local) or Hybrid (Local to NYC area) Position Summary: The Technical QA Analyst II is a critical contributor to delivering high-quality products within the Capital Rx JUDI platform, aligning with business goals and exceeding user expectations. Working closely with Product Managers, engineers, and stakeholders, this role ensures the seamless execution of the product roadmap by proactively identifying and resolving technical issues, validating functionality, and enhancing user experiences. This role combines a detail-oriented approach to quality assurance with a collaborative mindset to drive operational efficiency, support clinical programs, and deliver innovative solutions that benefit all Capital Rx members and clients. A strong technical aptitude and ability to deeply analyze system behavior are essential Position Responsibilities: Technical Issue Identification & Root Cause Analysis: Identify, investigate, and triage technical issues within the JUDI tech stack (specifically focusing on [Specify Key Technologies - e.g., Python/Django, PostgreSQL, AWS services]). Conduct thorough root cause analysis, utilizing logs, database queries, and system monitoring data to pinpoint the source of problems. Log Analysis & Monitoring: Monitor and analyze system logs (e.g., using CloudWatch, Datadog, or New Relic) to validate application functionality, identify performance bottlenecks, and proactively detect anomalies. Develop and maintain dashboards to visualize key system metrics. Database Querying & Analysis: Utilize SQL to query and analyze data within the JUDI database (PostgreSQL preferred). Develop and execute complex queries to investigate data discrepancies, identify trends, and support troubleshooting efforts. Familiarity with SQLAlchemy is a plus. AWS Service Support: Collaborate with the engineering team on the support and monitoring of AWS services utilized within the JUDI platform (e.g., EC2, S3, Lambda, RDS). Assist with troubleshooting issues related to these services. Collaboration & Requirements Translation: Collaborate with Product Managers and engineers to understand business requirements and translate them into actionable test requirements and test plans. Participate in sprint planning and daily stand-ups. QA Execution: Conduct thorough QA tasks, including ticket review, refinement, testing (manual and potentially exploratory), and bug identification. Scrum Team Support: Partner with the scrum team to manage backlogs, refine tickets, and support roadmap development. UAT Support: Assist with UAT testing, stakeholder communication, and documentation to align team efforts with business goals. Compliance & Reporting: Ensure adherence to company policies, including timely reporting of noncompliance. Code of Conduct: Responsible for adherence to the Capital Rx Code of Conduct including reporting of noncompliance. Minimum Qualifications: Bachelor's degree strongly preferred in Computer Science, Information Technology, or a related field. 3+ years of experience in a QA Analyst, Software Engineer, Business Analyst, or related role. Proficiency in Python Strong SQL experience; familiarity with SQLAlchemy is preferred. Experience with logging and monitoring tools such as CloudWatch, Datadog, or New Relic. Familiarity with Agile methodologies and workflows. Experience with GitHub or similar source control repositories. Excellent communication and collaboration skills, with the ability to translate between technical and non-technical audiences both verbally and in writing. Strong analytical and problem-solving skills with attention to detail and QA principles Preferred Qualifications: Experience with Infrastructure as Code (IaC) tools like Terraform or CloudFormation. Knowledge of API testing methodologies. Experience with CI/CD pipelines. Understanding of data warehousing concepts. Experience in the PBM space. This position description is designed to be flexible, allowing management the opportunity to assign or reassign duties and responsibilities as needed to best meet organizational goals. Salary Range$85,000-$100,000 USD All employees are responsible for adherence to the Capital Rx Code of Conduct including the reporting of non-compliance. This position description is designed to be flexible, allowing management the opportunity to assign or reassign duties and responsibilities as needed to best meet organizational goals. Judi Health values a diverse workplace and celebrates the diversity that each employee brings to the table. We are proud to provide equal employment opportunities to all employees and applicants for employment and prohibit discrimination and harassment of any type without regard to race, color, religion, age, sex, national origin, disability status, medical condition, genetic information, protected veteran status, sexual orientation, gender identity or expression, or any other characteristic protected by federal, state or local laws. By submitting an application, you agree to the retention of your personal data for consideration for a future position at Judi Health. More details about Judi Health's privacy practices can be found at*********************************************

About Judi Health Judi Health is an enterprise health technology company providing a comprehensive suite of solutions for employers and health plans, including: Capital Rx, a public benefit corporation delivering full-service pharmacy benefit management (PBM) solutions to self-insured employers, Judi Health, which offers full-service health benefit management solutions to employers, TPAs, and health plans, and Judi, the industry's leading proprietary Enterprise Health Platform (EHP), which consolidates all claim administration-related workflows in one scalable, secure platform. Together with our clients, we're rebuilding trust in healthcare in the U.S. and deploying the infrastructure we need for the care we deserve. To learn more, visit **************** Location: Remote (For Non-Local) or Hybrid (Local to NYC area) Position Summary: Capital Rx is seeking a Manager, Business Operations to join our growing Judi Care navigation team. This role is ideal for someone with 2-4 years of experience in startup BizOps, Consulting, or Finance who thrives in fast-moving environments, enjoys tackling a wide variety of challenges, and is looking to build a foundation for long-term leadership opportunities. You'll contribute directly to both external growth efforts and internal strategy, balancing hands-on execution with analytical problem-solving. Position Responsibilities: Sales Channel Management Manage and optimize sales channels to ensure effective distribution of Judi Care services. Develop and implement sales strategies that drive revenue growth and expand our customer base. Work closely with the Sales team to ensure alignment with partnership and channel strategies. Market Trend Analysis Identify and analyze market trends that impact the sales and distribution of care navigation services. Stay informed about industry developments, competitive landscape, and customer needs to ensure our offerings remain relevant and competitive. Provide insights and recommendations to the Marketing and Product teams to refine strategies and offerings. Minimum Qualifications: Bachelor's degree. 2-4 years of experience in business operations, consulting, or finance. Demonstrated ability to manage projects, analyze data, and synthesize insights into actionable recommendations. Excellent communication skills, with confidence presenting to both internal and external stakeholders. Highly adaptable, resourceful, and motivated to contribute in a dynamic, growth-oriented environment. Strong problem-solving skills and a balance of structured thinking with hands-on execution. Responsible for adherence to the Capital Rx Code of Conduct, including reporting of noncompliance. Salary Range$110,000-$130,000 USD All employees are responsible for adherence to the Capital Rx Code of Conduct including the reporting of non-compliance. This position description is designed to be flexible, allowing management the opportunity to assign or reassign duties and responsibilities as needed to best meet organizational goals. Judi Health values a diverse workplace and celebrates the diversity that each employee brings to the table. We are proud to provide equal employment opportunities to all employees and applicants for employment and prohibit discrimination and harassment of any type without regard to race, color, religion, age, sex, national origin, disability status, medical condition, genetic information, protected veteran status, sexual orientation, gender identity or expression, or any other characteristic protected by federal, state or local laws. By submitting an application, you agree to the retention of your personal data for consideration for a future position at Judi Health. More details about Judi Health's privacy practices can be found at*********************************************

About Judi Health Judi Health is an enterprise health technology company providing a comprehensive suite of solutions for employers and health plans, including: Capital Rx, a public benefit corporation delivering full-service pharmacy benefit management (PBM) solutions to self-insured employers, Judi Health, which offers full-service health benefit management solutions to employers, TPAs, and health plans, and Judi, the industry's leading proprietary Enterprise Health Platform (EHP), which consolidates all claim administration-related workflows in one scalable, secure platform. Together with our clients, we're rebuilding trust in healthcare in the U.S. and deploying the infrastructure we need for the care we deserve. To learn more, visit **************** Position Overview: The Account Executive/Strategic Account Executive - PBA Services is responsible for managing the planning, execution, growth & retention and client satisfaction of assigned clients in the Pharmacy Benefit Administration (PBA) market segment including Health Plans, Third Party Administrators (TPAs), and other Platform services. Additionally, this position will lead and collaborate through the broader Account Management team and with internal Capital Rx teams/departments as the client voice and advocate to ensure ongoing client satisfaction and to achieve client priorities and contractual obligations. This position acts as the quarterback and leader of the broader Account Management team who are aligned in support of our clients. This position reports to the Senior Account Executive/Senior Director, PBA Client Services. Position Responsibilities: Work closely with some of our biggest Texas-based clients and manage the complexities of working within a highly-regulated market of the TDI (Texas Department of Insurance) Provide oversight and direction to the broader Account Management team with a focus on member and client satisfaction, trend management, client growth & retention, and regulatory compliance to meet client specific objectives, client priorities and service model deliverables Lead and develop the client relationship strategy and the strategic business planning process across the clients in your portfolio while incorporating other internal staff where and when needed to build and foster relationships with influencers and decision makers. Maintain thorough knowledge and tracking of contractual obligations on assigned book of business, including financials, performance guarantees, terms, and reporting/compliance Manage and facilitate the Account renewal and contracting process with a focus on client retention and the client financial/PNL management Serve as the relationship lead on assigned book of business, incorporating other internal staff where and when needed to the relationship; build and foster relationships with influencers and decision makers at the client Anticipates customer needs and proactively identifies new opportunities within assigned accounts. Develop and maintain comprehensive knowledge of our business, including products and services to field questions from the client side and to answer timely & accurately Collaborate with internal teams to customize offerings and solutions, aligning with Health Plan/TPA Account needs and market demands - assemble internal resources to overcomes challenges. Analyze and interpret current pharmacy and healthcare trends, competitor activities, and industry regulations to inform strategic decisions, provide proactive recommendations for plan management and enhance the company's positioning within the PBA Services segment Lead, coach and support the Account Team on the effective positioning of the Capital Rx value proposition, our suite of Capital Rx Products and Solutions and JUDI capabilities available to our PBA clients Partner with our Business Development, Underwriting Teams & Senior Account Executives to support our PBA Account level growth and retention efforts by providing with Capital Rx sales support and market differentiator positioning, including RFP support, Broker/Consultant engagement and Best & Final support for prospective, existing and new and client business development needs Provide ongoing direction, coordination and coaching to the broader Account Team to align the Account Team understanding of the assigned client(s) business lines, strategies, key stakeholders & decision makers and priorities Serve as the content expert for Health Plan/TPA clients & opportunities Identify and help contribute to process improvement efforts Be accountable & own the client end-to end, inclusive of service model deliverables, contractual negotiations, client escalations and PNL management. All employees are responsible for adherence to the Capital Rx Code of Conduct including reporting of noncompliance. Required Qualifications: Bachelor's or advanced degree in health administration, business, or relevant professional experience. Bachelor of Pharmacy (B.S. Pharmacy) or Doctor of Pharmacy (PharmD) degree from an accredited institution is a plus Relevant professional experience for at least five (5) years in pharmacy - working within a health plan, managed care, or pharmacy benefits management (PBM) focused on Health Plans and Payer Commercial (Insured, Self-Funded, Exchange) and Government Program (Medicare & Medicaid) business lines. Health plan industry experience highly preferred Market and operational knowledge of Medicare Part D, Medicaid and Health Exchange pharmacy is required along with experience in supporting highly regulated business lines Track record of building trust in internal and external relationships Solution-focused problem solving and client positioning skills Exceptional written and verbal communication skills Ability to work with and influence peers in a team effort; leading cross-functional initiatives, meeting deadlines, and executing on deliverables while building strong internal relationships A decisive individual with sound technical skills, analytical ability, good judgement, and strong operational focus and detail-oriented perspective Flexible, highly organized, and able to shift priorities easily and work independently to meet deadlines Ability to effectively work with peers in a team effort Proficient in Microsoft Office Suite with emphasis on Microsoft Excel and large data sets and other industry software programs Ability to travel and present to small and large groups; travel is estimated to be up to 25% and be variable by season and business cycle Preferred Qualifications: Experience working with clients who are subject to TDI (Texas Department of Insurance) rules and regulations #LI-BC1 Salary Range$120,000-$160,000 USD All employees are responsible for adherence to the Capital Rx Code of Conduct including the reporting of non-compliance. This position description is designed to be flexible, allowing management the opportunity to assign or reassign duties and responsibilities as needed to best meet organizational goals. Judi Health values a diverse workplace and celebrates the diversity that each employee brings to the table. We are proud to provide equal employment opportunities to all employees and applicants for employment and prohibit discrimination and harassment of any type without regard to race, color, religion, age, sex, national origin, disability status, medical condition, genetic information, protected veteran status, sexual orientation, gender identity or expression, or any other characteristic protected by federal, state or local laws. By submitting an application, you agree to the retention of your personal data for consideration for a future position at Judi Health. More details about Judi Health's privacy practices can be found at*********************************************

Network Adjusters is seeking skilled Bodily Injury Claims Adjusters to join our liability claims team. This role focuses on the investigation, evaluation, negotiation, and resolution of complex commercial bodily injury claims while delivering consistent, high-quality claims management in alignment with industry best practices. This position offers the opportunity to work within a trusted organization committed to integrity, reliability, and professional development through ongoing training and growth opportunities. About the Role Bodily Injury Claims Adjusters are responsible for managing commercial bodily injury claims from inception through closure. Claims may include complex commercial auto and general liability exposures with higher severity and specialization. In this role, you will investigate losses, analyze policy language, evaluate damages, negotiate settlements, and handle litigated matters while exercising a high level of independent judgment. Adjusters routinely take statements, review medical records and police reports, collaborate with legal counsel when necessary, and ensure all claim activity complies with state-specific regulations and Network Adjusters' quality standards and Best Claims Practices. This is a desk-based role. Responsibilities Handle complex Commercial Auto and General Liability bodily injury claims from inception to closure Investigate, evaluate, negotiate, and manage claims involving higher severity and exposure Provide superior customer service to insureds, claimants, carrier clients, and internal stakeholders Conduct comprehensive interviews, secure statements, and gather evidence from claimants, witnesses, medical providers, and law enforcement agencies Analyze insurance contracts and policy language to determine coverage applicability Review medical records, police reports, and related documentation to evaluate injuries and liability Establish, monitor, and adjust reserve requirements throughout the life of the claim Determine settlement values using independent judgment, applicable limits, deductibles, and collaboration with legal counsel when necessary Handle litigated matters and negotiate settlements within assigned authority Prepare professional written correspondence summarizing coverage analysis and claim decisions Communicate claim decisions and sensitive developments with clarity, confidence, and empathy Maintain accurate, up-to-date claim files, diaries, and documentation Ensure compliance with applicable regulations and Network Adjusters' quality standards and Best Claims Practices Qualifications Minimum 3 years of bodily injury claims handling experience Strong verbal and written communication skills Proficiency in MS Word, Outlook, Excel, and standard business software Strong customer service skills with demonstrated empathy Advanced analytical, investigative, negotiation, and decision-making abilities Excellent organizational and time management skills with the ability to manage complex workloads High attention to detail and commitment to accuracy Ability to maintain confidentiality College or technical degree, or equivalent business experience preferred Ability to obtain and maintain required adjuster licenses, including continuing education Knowledge of the security industry and/or rideshare industry is beneficial Bilingual proficiency preferred but not required Compensation & Benefits Salary: Starting from $75,000+ annually (based on licensure, certifications, and experience) Training, development, and career growth opportunities 401(k) with company match and retirement planning Paid time off and company-paid holidays Comprehensive medical, dental, and vision insurance Flexible Spending Account (FSA) Company-paid life insurance and long-term disability Supplemental life insurance and optional short-term disability Strong work/family and employee assistance programs Employee referral program Location 📍 Farmingdale, NY This role is on-site only; remote or hybrid arrangements are not available. About Network Adjusters Founded in 1958, Network Adjusters has built a reputation as a leading provider of insurance claims administration and independent adjusting services. Serving the insurance industry for nearly seven decades, Network Adjusters, Inc. brings together the best elements of third-party claims administration and independent adjusting services. From our primary offices in New York, Denver, and Kentucky to our national network of experts, our superior experience and ongoing training are the keys to successfully managing our clients claims and handling specialized insurance needs. All our Claim Directors have extensive backgrounds working with major insurance carriers, giving us a thorough understanding of factors critical claims handling. It all adds up to measurable results-the proof is in our extensive track record of settled claims and unmatched recovery abilities.

About Judi Health Judi Health is an enterprise health technology company providing a comprehensive suite of solutions for employers and health plans, including: Capital Rx, a public benefit corporation delivering full-service pharmacy benefit management (PBM) solutions to self-insured employers, Judi Health, which offers full-service health benefit management solutions to employers, TPAs, and health plans, and Judi, the industry's leading proprietary Enterprise Health Platform (EHP), which consolidates all claim administration-related workflows in one scalable, secure platform. Together with our clients, we're rebuilding trust in healthcare in the U.S. and deploying the infrastructure we need for the care we deserve. To learn more, visit **************** Location: NYC Office (4 days/week required) Position Summary: The IT Help Desk Asset Technicianassistsin managing our ticketing system, MDM software, and all IT equipment tracking/deployment. Position Responsibilities: Manage all IT Asset inventory, tracking all in office/deployed equipment using IT Asset management programs Maintain all IT assets through device life cycle, processing replacements/returns of all broken/outdated hardware across the company Collaborate with HR team to retrieve equipment from Collaboratewith internal partner teams toidentifycompliance, best practice, or other IT related policy needs within the cross functional existing processes and workflows;identifyand present enhancements and deploy solutions to the business. Responsible for all onboarding and offboarding related IT activities, including system-wide access,purchasingandretrieving ofequipment,upgrades,asset tagging,etc. Promptly respond to user requests via ticketing system/phone calls/IM Assistusers with access/system issues Write and update documentation for user reference Help build andestablishprocedures for newly established team Participate in a Help Desk OnCall schedule (tentatively will be 1 week/month, with potential higher volume at onset as the team grows). Required Qualifications: 2+Yearsexperiencein a Help Desk role (preferably in a medium or larger company) Acustomer-orientedapproach to problem resolution Experience maintaining IT Assets within asset management software Process, intake, and manage hardware repairs Ability to lift 30 lbs. regularly and up to 50 lbs. occasionally (for NYT "future onsite" roles only) Salary Range$24-$28 USD All employees are responsible for adherence to the Capital Rx Code of Conduct including the reporting of non-compliance. This position description is designed to be flexible, allowing management the opportunity to assign or reassign duties and responsibilities as needed to best meet organizational goals. Judi Health values a diverse workplace and celebrates the diversity that each employee brings to the table. We are proud to provide equal employment opportunities to all employees and applicants for employment and prohibit discrimination and harassment of any type without regard to race, color, religion, age, sex, national origin, disability status, medical condition, genetic information, protected veteran status, sexual orientation, gender identity or expression, or any other characteristic protected by federal, state or local laws. By submitting an application, you agree to the retention of your personal data for consideration for a future position at Judi Health. More details about Judi Health's privacy practices can be found at*********************************************

About Judi Health Judi Health is an enterprise health technology company providing a comprehensive suite of solutions for employers and health plans, including: Capital Rx, a public benefit corporation delivering full-service pharmacy benefit management (PBM) solutions to self-insured employers, Judi Health, which offers full-service health benefit management solutions to employers, TPAs, and health plans, and Judi, the industry's leading proprietary Enterprise Health Platform (EHP), which consolidates all claim administration-related workflows in one scalable, secure platform. Together with our clients, we're rebuilding trust in healthcare in the U.S. and deploying the infrastructure we need for the care we deserve. To learn more, visit **************** Location: Remote (For Non-Local) or Hybrid (Local to NYC area) Position Summary: We are seeking a highly motivated and detail-oriented Data Quality Engineer to join our team. In this critical role, you will be the guardian of our data's integrity, ensuring the accuracy, reliability, and robustness of the systems that power our operations and analytics. You will be instrumental in building trust in our data and empowering the organization to make confident, data-driven decisions that drive positive healthcare outcomes. Position Responsibilities: Technical Issue Identification & Root Cause Analysis: Identify, investigate, and triage technical issues within the data engineering tech stack (specifically focusing on [Specify Key Technologies - e.g., Python, SQL, Airflow, dbt]). Conduct thorough root cause analysis, utilizing logs, database queries, and system monitoring data to pinpoint the source of problems. Log Analysis & Monitoring: Monitor and analyze system logs (e.g., using CloudWatch to validate application functionality, identify performance bottlenecks, and proactively detect anomalies. Develop and maintain dashboards to visualize key system metrics. Database Querying & Analysis: Utilize SQL to query and analyze data within the Snowflake data warehouse. Develop and execute complex queries to investigate data discrepancies, identify trends, and support troubleshooting efforts. Familiarity with SQLAlchemy is a plus. AWS Service Support: Collaborate with the engineering team on the support and monitoring of AWS services utilized within data engineering (g., EC2, S3). Assist with troubleshooting issues related to these services. Collaboration & Requirements Translation: Collaborate with Product Managers and engineers to understand business requirements and translate them into actionable test requirements and test plans. Participate in sprint planning and daily stand-ups. QA Execution: Conduct thorough QA tasks, including ticket review, refinement, testing (manual and potentially exploratory), and bug identification. Scrum Team Support: Partner with the scrum team to manage backlogs, refine tickets, and support roadmap development. UAT Support: Assist with UAT testing, stakeholder communication, and documentation to align team efforts with business goals. Compliance & Reporting: Ensure adherence to company policies, including timely reporting of noncompliance. Code of Conduct: Responsible for adherence to the Capital Rx Code of Conduct including reporting of noncompliance. Minimum Qualifications: Bachelor's degree strongly preferred in Computer Science, Information Technology, or a related field. 3+ years of experience in a QA Analyst, Data Engineer, Business Analyst, or related role. Proficiency in Python Strong SQL experience; familiarity with Snowflake preferred. Familiarity with Agile methodologies and workflows. Experience with GitHub or similar source control repositories. Excellent communication and collaboration skills, with the ability to translate between technical and non-technical audiences both verbally and in writing. Strong analytical and problem-solving skills with attention to detail and QA principles A meticulous, detail-oriented mindset with a passion for ensuring data accuracy. Preferred Qualifications: Experience in the healthcare or PBM sector. Hands-on experience with modern data stack tools like Airflow, dbt, and Snowflake. Experience with CI/CD pipelines. Understanding of data warehousing concepts. Familiarity with automated testing frameworks and data validation tools. This position description is designed to be flexible, allowing management the opportunity to assign or reassign duties and responsibilities as needed to best meet organizational goals. Salary Range$85,000-$100,000 USD All employees are responsible for adherence to the Capital Rx Code of Conduct including the reporting of non-compliance. This position description is designed to be flexible, allowing management the opportunity to assign or reassign duties and responsibilities as needed to best meet organizational goals. Judi Health values a diverse workplace and celebrates the diversity that each employee brings to the table. We are proud to provide equal employment opportunities to all employees and applicants for employment and prohibit discrimination and harassment of any type without regard to race, color, religion, age, sex, national origin, disability status, medical condition, genetic information, protected veteran status, sexual orientation, gender identity or expression, or any other characteristic protected by federal, state or local laws. By submitting an application, you agree to the retention of your personal data for consideration for a future position at Judi Health. More details about Judi Health's privacy practices can be found at*********************************************

About Judi Health Judi Health is an enterprise health technology company providing a comprehensive suite of solutions for employers and health plans, including: Capital Rx, a public benefit corporation delivering full-service pharmacy benefit management (PBM) solutions to self-insured employers, Judi Health, which offers full-service health benefit management solutions to employers, TPAs, and health plans, and Judi, the industry's leading proprietary Enterprise Health Platform (EHP), which consolidates all claim administration-related workflows in one scalable, secure platform. Together with our clients, we're rebuilding trust in healthcare in the U.S. and deploying the infrastructure we need for the care we deserve. To learn more, visit **************** Position Summary: Capital Rx is seeking a strategic, client-focused Clinical Account Consultant to support all aspects of clinical functions to service client clinical needs. In this role, you'll ensure client satisfaction, retention, and trend management, while providing clinical support to clients across all lines of business. You'll collaborate directly with clients to develop and implement formulary and clinical strategies, support contract renewals, and contribute to clinical process improvements. If you're passionate about delivering exceptional service with a focus on clinical excellence and driving healthcare innovation, we'd love to hear from you! Position Responsibilities: Support clinical aspects of implementation for new clients, plans, plan changes, and other clinical plan set-up requirements. This may include gathering client clinical intent and plan requirements, building/coding plans and formularies, conducting peer-review quality control, and reviewing testing and claims output. Actively address all clients' clinical needs including the management and implementation of custom formularies, clinical criteria, and clinical strategies. Comprehend and effectively explain formulary, benefit, and clinical programs to clients, including intervention components, member and plan experience, book of business experience, and regulatory requirements as it directly pertains to clinical functions. Meet with clients to discuss clinical trends, review relevant pharmacy data, and provide recommendations with supportive rationale for formulary, clinical and plan management strategies. Analyze and interpret pharmacy claims data to identify clinical and plan trends and to offer insights for individual clients and across multiple clients. Communicate drug information to clients and respond to plan-specific clinical inquiries; support resolution of member-specific inquiries. Collaborate with cross-functional teams to support sales initiatives, requests for information (RFI), requests for proposal (RFP), and prospect presentations. Actively attend and contribute to sales meetings and client presentations with a focus on clinical operations and clinical account management. Lead key internal clinical operations initiatives and general business needs/operations, as required. Identify and contribute to clinical process improvement efforts. Certain times of year may require meeting participation, testing, claims review, or other requirements outside of standard business hours, including weekends. Responsible for adherence to the Capital Rx Code of Conduct including reporting of noncompliance. Required Qualifications: Doctor of Pharmacy (PharmD) degree from an accredited institution Current, unrestricted registered pharmacist license(s) Relevant experience of 3-5 years in a health plan or pharmacy benefits management (PBM) Direct account management experience supporting clients across multiple lines of business Proficient in Microsoft Office Suite with emphasis on Microsoft Excel Experience working with large datasets and analyzing raw data in Excel Ability to balance multiple complex projects simultaneously Exceptional written and verbal communication skills Flexible, highly organized, and able to shift priorities easily Attention to detail & commitment to delivering high quality work product Ability to travel and present to small and large groups Preferred Qualifications: Completion of managed care residency, preferred Prior account management experience of at least three (3) years, preferred Prior experience with Medicare line of business, preferred This position description is designed to be flexible, allowing management the opportunity to assign or reassign duties and responsibilities as needed to best meet organizational goals. Salary Range$145,000-$165,000 USD All employees are responsible for adherence to the Capital Rx Code of Conduct including the reporting of non-compliance. This position description is designed to be flexible, allowing management the opportunity to assign or reassign duties and responsibilities as needed to best meet organizational goals. Judi Health values a diverse workplace and celebrates the diversity that each employee brings to the table. We are proud to provide equal employment opportunities to all employees and applicants for employment and prohibit discrimination and harassment of any type without regard to race, color, religion, age, sex, national origin, disability status, medical condition, genetic information, protected veteran status, sexual orientation, gender identity or expression, or any other characteristic protected by federal, state or local laws. By submitting an application, you agree to the retention of your personal data for consideration for a future position at Judi Health. More details about Judi Health's privacy practices can be found at*********************************************

Join a dynamic financial operations team supporting legal professionals and their clients. This role centers on managing client financial interactions, with a focus on invoicing, digital billing platforms, and payment tracking. Key Responsibilities Prepare and submit client invoices, including digital formats, ensuring precision and timeliness Oversee billing workflows, monitor deadlines, and provide status updates on outstanding accounts Review and interpret custom billing agreements with a critical eye for detail Serve as a point of contact for internal stakeholders, resolving process-related issues and supporting system enhancements Collaborate directly with designated legal professionals to manage account lifecycles-from initial setup through payment coordination and account reconciliation Candidate Profile At least 2 years of experience in billing within a legal or consulting environment Familiarity with enterprise financial platforms (e.g., Elite 3E, Aderant, eBillingHub) Exposure to international billing practices and currency variations is advantageous Strong analytical skills for interpreting financial data and billing trends Exceptional accuracy and ability to follow complex instructions Professional communication skills across all organizational levels The Phoenix Group Advisors is an equal opportunity employer. We are committed to creating a diverse and inclusive workplace and prohibit discrimination and harassment of any kind based on race, color, religion, gender, sexual orientation, gender identity or expression, national origin, age, genetic information, disability, or veteran status. We strive to attract talented individuals from all backgrounds and provide equal employment opportunities to all employees and applicants for employment.

About Judi Health Judi Health is an enterprise health technology company providing a comprehensive suite of solutions for employers and health plans, including: Capital Rx, a public benefit corporation delivering full-service pharmacy benefit management (PBM) solutions to self-insured employers, Judi Health, which offers full-service health benefit management solutions to employers, TPAs, and health plans, and Judi, the industry's leading proprietary Enterprise Health Platform (EHP), which consolidates all claim administration-related workflows in one scalable, secure platform. Together with our clients, we're rebuilding trust in healthcare in the U.S. and deploying the infrastructure we need for the care we deserve. To learn more, visit **************** Position Summary: The Proposal Development Manager is an individual contributor responsible for leading the writing and project management of new-business medical RFPs and RFIs. In addition to directing all bid-development activities for Judi Health, the successful candidate will leverage industry expertise to help Judi Health identify and implement best practices for proposal response, establishing repeatable, efficient processes that scale with our growing pipeline. The Proposal Development Manager will work closely with stakeholders across the organization to develop and deliver compelling, competitive value propositions that advance Judi Health's sales objectives and drive both client acquisition and retention. This new role offers the opportunity to shape and refine our proposal strategy from the ground up. Position Responsibilities: Lead RFP/RFI responses for Judi Health and Capital Rx prospects, covering medical and pharmacy components. Develop and scale bid-management processes for medical administration/health benefits proposals. Partner with enterprise content management and marketing teams to keep shared materials current, compelling, and competitive. This individual will assume ownership of the Judi Health and Judi Care sections of the content database. Manage project plans, timelines, and resources to meet RFP requirements and ensure timely, complete submissions. Customize proposal content based on regulatory guidelines, client demographics, utilization insights, and benefit design Provide training and mentorship on proposal development best practices to subject matter experts and the proposal team, as it relates to the assigned market(s). Streamline workflows through templates, automation, and tooling enhancements. Uphold the Capital Rx/Judi Health Code of Conduct and report any noncompliance. Required Qualifications: Undergraduate bachelor's degree, with record of strong academic performance in English, Journalism, Marketing or Communications 5+ years of experience leading medical/health benefits administration proposal development. Strategic writer the ability to think critically about client needs in order to derive rhetorically appropriate responses to non-standard questions. High proficiency in Microsoft Word, Microsoft Excel, and Adobe products. Attention to detail & commitment to delivering high quality work product. Extremely flexible, highly organized, and able to shift priorities easily. Ability to lead multiple complex projects simultaneously and balance a range of key internal and external stakeholders. Track record of leading cross-functional initiatives, driving high performance, meeting deadlines, and executing on deliverables. Knowledge of healthcare industry trends and best practices. Ability to write in plain language. Exceptional verbal communication skills, with the ability to speak to executive leadership and find solutions. Passion for learning, including intricacies of pharmacy benefits products and services. Preferred Qualifications Master's degree in English, Journalism, Marketing, Communications, or another related field. Association of Proposal Management Professional and/or Project Management Professional certification. Salary Range$90,000-$105,000 USD All employees are responsible for adherence to the Capital Rx Code of Conduct including the reporting of non-compliance. This position description is designed to be flexible, allowing management the opportunity to assign or reassign duties and responsibilities as needed to best meet organizational goals. Judi Health values a diverse workplace and celebrates the diversity that each employee brings to the table. We are proud to provide equal employment opportunities to all employees and applicants for employment and prohibit discrimination and harassment of any type without regard to race, color, religion, age, sex, national origin, disability status, medical condition, genetic information, protected veteran status, sexual orientation, gender identity or expression, or any other characteristic protected by federal, state or local laws. By submitting an application, you agree to the retention of your personal data for consideration for a future position at Judi Health. More details about Judi Health's privacy practices can be found at*********************************************

Description: Why Join Marshall+Sterling? As a 100% employee-owned company with roots dating back to 1864, Marshall+Sterling offers the strength of a time-tested organization and the energy of an ownership-driven culture. Guided by our mission to empower clients to predict, prepare for, and preempt risk, we are relentlessly focused on helping people and businesses protect what matters most - so they can move forward with confidence. Our vision of creating a future that's safer and more secure drives everything we do. Innovation is not optional here - it's imperative. We constantly seek better, smarter ways to serve our clients and improve as a company. Collaboration is at our core, because we know we are stronger together - across teams, with our clients, and in the communities we serve. Our employee-owners are not only valued and empowered, but also directly invested in our collective success. At Marshall+Sterling, you're not just joining a company - you're joining a culture built on integrity, impact, and people-first values. Your ideas matter, your growth is prioritized, and your work helps shape a more secure future for all. This role is based in our Poughkeepsie Office. Join our Finance team and provide administrative and financial support across the organization. You'll manage daily accounting tasks, assist with month-end and year-end processes, and ensure accurate financial records. This role offers the opportunity to collaborate with a supportive team, contribute innovative ideas, and make a meaningful impact on our success. Manage daily accounting and financial processes (payments, deposits, reconciliations) Record and track commissions Prepare and distribute financial reports Handle billing and invoicing, including resolving errors and coordinating collections. Support month-end and year-end processes (reconciliations, accruals, reporting) Assist with audits and compliance requirements Maintain accurate financial records and documentation Provide support to colleagues and contribute to projects as needed Build and maintain positive working relationships across the team Requirements: College degree preferred, high school diploma or equivalent required. Proficiency in AI tools and experience using systems such as ImageRight, Outlook, and other related platforms to enhance efficiency and streamline processes. Proficiency in Microsoft Office; experience with Vertafore is a plus. Strong interpersonal skills with the ability to work effectively with colleagues. Excellent verbal and written communication skills. Highly organized with strong attention to detail. Total Rewards Package: Compensation : $57,500-$62,500, based experience and education. Benefits : Comprehensive package including Medical, Dental, Vision, 401(k) with match, Generous Paid Time Off (PTO), thirteen paid holidays, company-paid life insurance for you and your dependents, employee assistance fund and programs, wellness perks, and more! Employee Stock Ownership Program As a 100% employee-owned company, Marshall+Sterling offers you the unique opportunity to build long-term wealth while growing your career. Here's what makes our ESOP so valuable: Long-Term Rewards: The value of your ESOP account grows over time, rewarding your commitment and contributions to the company's success. Collaborative & Engaged Culture: Employee ownership fosters a team-oriented environment where everyone has a stake in the company's growth and success. No Out-of-Pocket Costs: Unlike stock purchase plans, our ESOP is entirely company-funded, meaning you gain equity without any personal investment. For more information on our culture and benefits, please visit us at : Careers -Marshall+Sterling MS24 Compensation details: 0 Hourly Wage PI3899b71800d8-4680

At Pave, we're building the industry's leading compensation platform, combining the world's largest real-time compensation dataset with deep expertise in AI and machine learning. Our platform is perfecting the art and science of pay to give 8,500+ companies unparalleled confidence in every compensation decision. Top tier companies like OpenAI, McDonald's, Instacart, Atlassian, Synopsys, Stripe, Databricks, and Waymo use Pave, transforming every pay decision into a competitive advantage. $190+ billion in total compensation spend is managed in our workflows, and 58% of Forbes AI 50 use Pave to benchmark compensation. The future of pay is real-time & predictive, and we're making it happen right now. We've raised $160M in funding from leading investors like Andreessen Horowitz, Index Ventures, Y Combinator, Bessemer Venture Partners, and Craft Ventures. Research & Design Org Pave's R&D pillar includes our data science, engineering, information technology, product design, product management, and security teams. This organization builds, maintains, and secures a platform used by more than 8,500+ client organizations. Our engineering team moves between ideation, scoping, and execution in a matter of days while closely iterating with cross‑functional partners on requirements. At Pave, we use TypeScript, Node.js, and React, hosted on GCP. Compensation strategy is broken down into three pillars - compensation bands, planning workflows, and total rewards communication. We build products that make these processes seamless for customers. Over the next year, our roadmap is focused on enhancing the entire compensation lifecycle: from philosophy definition to market trend analysis, band adjustments, merit cycles, and employee communication. We're seeking passionate engineers who are excited about building robust, data‑rich systems that simplify complex compensation processes at scale. The Data Team @ Pave As part of the Data team at Pave, you will help us redefine how companies understand the labor market and determine compensation. Even the most innovative tech companies in the world often use spreadsheets full of flawed statistics to determine how to pay. At Pave, we've built a system of real‑time integrations that allow us to bring best practices from machine learning, data science, software tooling, and AI to an industry that is built on data, but doesn't have the tools it needs to fully leverage it. What You'll Do Architect and implement scalable ML systems for modeling compensation within a single company and across the market as a whole Collaborate with product and engineering teams to identify additional opportunities to leverage ML‑driven solutions Help evolve the technical direction of ML initiatives across the company Drive millions of dollars of revenue growth What You'll Bring 5+ years of experience building and deploying ML models in production environments Strong foundation in machine learning, statistics, and deep learning fundamentals Expertise in Python and modern ML frameworks (PyTorch, TensorFlow, or similar) Experience with large‑scale data processing and ML model optimization Experience with MLOps practices and tools (model versioning, monitoring, and deployment) Strong software engineering practices and experience with production systems Expert‑level SQL skills with experience writing complex queries and optimizing query performance Ability to navigate (and bring structure to) ambiguity; ability to bring a project from 0 to 1, or scale a project from 1 to 100 Compensation Salary is just one component of Pave's total compensation package for employees. Your total rewards package at Pave will include equity, top‑notch medical, dental, and vision coverage, a flexible PTO policy, and many other region‑specific benefits. Your level is based on our assessment of your interview performance and experience, which you can always ask the hiring manager about to understand in more detail. This salary range may include multiple levels. The targeted cash compensation for this position is (level depends on experience and performance in the interview process): P3: $195,000 - $215,000 P4: $230,000 - $250,000 Life @ Pave Since being founded in 2019, Pave has established a robust global footprint. Headquartered in San Francisco's Financial District, we operate strategic regional hubs across New York City's Flatiron District, Salt Lake City, and the United Kingdom. We cultivate a vibrant, collaborative workplace culture through our hybrid model, bringing teams together in‑person on Mondays, Tuesdays, Thursdays, and Fridays to foster innovation and strengthen professional relationships. Benefits Complete Health Coverage: Comprehensive Medical, Dental and Vision coverage for you and your family, with plenty of options to suit your needs Time off & Flexibility: Flexible PTO and the ability to work from anywhere in the world for a month Meals & Snacks: Lunch & dinner stipends as well as fully stocked kitchens to fuel you Professional Development: Quarterly education stipend to continuously grow Family Support: Robust parental leave to bond with your new family Commuter Assistance: A commuter stipend to help you collaborate in person Vision & Mission Our vision is to unlock a labor market built on trust. Our mission is to build confidence in every compensation decision. Equal Employment Opportunity As set forth in Pave's Equal Employment Opportunity policy, we do not discriminate on the basis of any protected group status under any applicable law. If you believe you belong to any of the categories of protected veterans listed below, we request this information in order to measure the effectiveness of the outreach and positive recruitment efforts we undertake pursuant to VEVRAA. #J-18808-Ljbffr

About Judi Health Judi Health is an enterprise health technology company providing a comprehensive suite of solutions for employers and health plans, including: Capital Rx, a public benefit corporation delivering full-service pharmacy benefit management (PBM) solutions to self-insured employers, Judi Health, which offers full-service health benefit management solutions to employers, TPAs, and health plans, and Judi, the industry's leading proprietary Enterprise Health Platform (EHP), which consolidates all claim administration-related workflows in one scalable, secure platform. Together with our clients, we're rebuilding trust in healthcare in the U.S. and deploying the infrastructure we need for the care we deserve. To learn more, visit **************** Position Summary: This role supports pricing and underwriting and ensuring timely and accurate RFP responses. The position involves collaborating with various teams to refine financial models and reporting, presenting final underwriting to leadership, and driving continuous improvement in pricing and underwriting practices. Position Responsibilities: Direct and execute day-to-day pricing and underwriting for new and renewing business opportunities Coordinate with Sales, RFP response, and other business functions to submit timely and complete RFP responses Collaborate with Executive Team and other business functions to design, refine, and maintain internal underwriting, financial modeling, and financial reporting SOPs Support client contracting, including validation that contract terms align with proposal underwriting parameters Present final underwriting to Sales and Executive Team and be able to articulate any potential risk Support continued development and maintenance of underwriting and financial reporting system infrastructure Mine external data to determine best underwriting practices for each business opportunity Manage multiple projects and deadlines as needed Work collaboratively across the organization to communicate and support ongoing financial analytics and reporting needs Support analysis and development of pricing models for new products Support general business needs, as required Responsible for adherence to the Capital Rx Code of Conduct including reporting of noncompliance Required Qualifications Bachelor's degree, with record of strong academic performance in Accounting, Finance, Actuarial Science, Statistics, or Economics (In lieu of a degree, equivalent relevant work experience may be considered) 2+ years of proven experience in financial analysis, actuarial services, accounting, pricing & underwriting Pharmacy, PBM, or Health Plan experience required Knowledge of risk management, statistics, financial modeling Experience manipulating large data sets, including the ability to analyze and interpret historical claims data Proficient in Excel and data visualization tools Experience in either SQL, SAS, or R preferred Track record of leading cross-functional initiatives, driving high performance, meeting deadlines, and executing on deliverables Ability to balance multiple complex projects simultaneously Exceptional technical, analytical, and problem-solving skills Exceptional written and verbal communication skills Extremely flexible, highly organized, and able to shift priorities easily Attention to detail & commitment to delivering high quality work product Salary Range$95,000-$110,000 USD All employees are responsible for adherence to the Capital Rx Code of Conduct including the reporting of non-compliance. This position description is designed to be flexible, allowing management the opportunity to assign or reassign duties and responsibilities as needed to best meet organizational goals. Judi Health values a diverse workplace and celebrates the diversity that each employee brings to the table. We are proud to provide equal employment opportunities to all employees and applicants for employment and prohibit discrimination and harassment of any type without regard to race, color, religion, age, sex, national origin, disability status, medical condition, genetic information, protected veteran status, sexual orientation, gender identity or expression, or any other characteristic protected by federal, state or local laws. By submitting an application, you agree to the retention of your personal data for consideration for a future position at Judi Health. More details about Judi Health's privacy practices can be found at*********************************************

About Judi Health Judi Health is an enterprise health technology company providing a comprehensive suite of solutions for employers and health plans, including: Capital Rx, a public benefit corporation delivering full-service pharmacy benefit management (PBM) solutions to self-insured employers, Judi Health, which offers full-service health benefit management solutions to employers, TPAs, and health plans, and Judi, the industry's leading proprietary Enterprise Health Platform (EHP), which consolidates all claim administration-related workflows in one scalable, secure platform. Together with our clients, we're rebuilding trust in healthcare in the U.S. and deploying the infrastructure we need for the care we deserve. To learn more, visit **************** Position Summary: The QA Pharmacist will use their state regulatory knowledge to perform routine auditing and monitoring processes to ensure quality, accuracy, and regulatory compliance of coverage requests and appeals. The QA Pharmacist will utilize a strong comprehension of regulatory requirements to ensure success in annual reporting, program audits, and ad hoc audits. Position Responsibilities: Complete monthly utilization management and appeals performance and process audits in alignment with applicable regulations, accreditation standards, and best practices. Create and maintain progress reports and audit results in accordance with regulatory/accreditation requirements and internal processes. Present audit results to leadership in a timely manner to address issues and ensure adherence to departmental procedures and regulatory/accreditation requirements (CMS, URAC, NCQA). Continuously review and remain informed of all regulatory/accreditation requirements and updates impacting the coverage request and appeals processes. Respond to inquiries from internal and external stakeholders regarding quality assurance processes, audit results, and compliance policies and procedures. Work independently and with team members as warranted by audit assignment. Assist in designing and implementing audit tools and programs, creating QA scorecards and guides in collaboration with all department stakeholders. Provide ongoing performance feedback, to team leads to ensure consistent performance. Assist management in identifying, evaluating, and mitigating operational, and compliance risks. Work in collaboration with operational leaders to identify training opportunities and recommend improvements to Work Instructions, Job Aids, and Policy and Procedures to improve performance. Minimum Qualifications: Active, unrestricted, pharmacist license required 2+ years of state regulatory and auditutilization management experienceat a PBM or health plan required Extensive knowledge of how to operationalize regulatory requirements Strong oral and written communication skills required Intermediate to advanced Microsoft Excel skills required Possess strong analytical skills, attention to detail, quantitative, and problem-solving abilities Ability to work independently with minimal supervision, stay productive in a remote, high-volume, metric driven work environment Ability to multi-task and collaborate in a team with shifting priorities Preferred Qualifications: Familiarity/experience with URAC and NCQA accreditation requirements Utilization management and/or appeals audit experience 3+ years of compliance or regulatory experience at a PBM or health plan This position description is designed to be flexible, allowing management the opportunity to assign or reassign duties and responsibilities as needed to best meet organizational goals. #LI-BC1 Salary Range$135,000-$145,000 USD All employees are responsible for adherence to the Capital Rx Code of Conduct including the reporting of non-compliance. This position description is designed to be flexible, allowing management the opportunity to assign or reassign duties and responsibilities as needed to best meet organizational goals. Judi Health values a diverse workplace and celebrates the diversity that each employee brings to the table. We are proud to provide equal employment opportunities to all employees and applicants for employment and prohibit discrimination and harassment of any type without regard to race, color, religion, age, sex, national origin, disability status, medical condition, genetic information, protected veteran status, sexual orientation, gender identity or expression, or any other characteristic protected by federal, state or local laws. By submitting an application, you agree to the retention of your personal data for consideration for a future position at Judi Health. More details about Judi Health's privacy practices can be found at*********************************************

About Judi Health Judi Health is an enterprise health technology company providing a comprehensive suite of solutions for employers and health plans, including: Capital Rx, a public benefit corporation delivering full-service pharmacy benefit management (PBM) solutions to self-insured employers, Judi Health, which offers full-service health benefit management solutions to employers, TPAs, and health plans, and Judi, the industry's leading proprietary Enterprise Health Platform (EHP), which consolidates all claim administration-related workflows in one scalable, secure platform. Together with our clients, we're rebuilding trust in healthcare in the U.S. and deploying the infrastructure we need for the care we deserve. To learn more, visit **************** Location: Remote (For Non-Local) or Hybrid (Local to NYC, Denver, or Charlotte) Position Responsibilities: Support RFP/RFI opportunities for new and renewal PBM opportunities with low to moderate complexity. Comply fully with Capital Rx's policies and procedures for proposal development. Support the creation and maintenance of consultant templates for assigned channel partners. Create and refine SOPs to support RFP response development and submission working in collaboration with proposal managers and directors. Within 9-12 months following hire date, demonstrate mastery of Capital Rx's products, services, and financial model to complete assignments with minimal oversight. Comply with Capital Rx's time and attendance policies for all salaried employees, including working a base of 40 hours per week. Responsible for adherence to the Capital Rx Code of Conduct, including reporting of noncompliance. Support the management of the RFP response database by returning new and revised responses to the RFP Content Manager. Assist in the creation and ongoing updates/edits to new RFP content. Help obtain and catalog ancillary RFP samples and attachments. Assist Content Manager with day-to-day maintenance of RFP library content (Qvidian). Assist Content Manager with maintenance of SME list. Contribute ideas for improvement across proposal & underwriting department including content management processes or tools. Minimum Qualifications: Undergraduate bachelor's degree, with record of strong academic performance in English, Journalism, Marketing or Communications 1+ years of proven experience in proposal writing, project management, or benefits consulting Attention to detail & commitment to delivering high quality work product Extremely flexible, highly organized, and able to shift priorities easily Ability to lead multiple projects simultaneously and balance a range of key internal and external stakeholders Track record of supporting multiple projects simultaneously, driving high performance, meeting deadlines, and executing on deliverables Proficient in Microsoft Office, Adobe, and other editing software Experience with RFP library software such as Qvidian, Loopio, Responsive, Expedience, etc. preferred Knowledge of healthcare industry trends and best practices Ability to write in plain language Exceptional written and verbal communication skills, including technical copy editing Passion for learning, including intricacies of pharmacy benefits products Salary Range$75,000-$87,000 USD All employees are responsible for adherence to the Capital Rx Code of Conduct including the reporting of non-compliance. This position description is designed to be flexible, allowing management the opportunity to assign or reassign duties and responsibilities as needed to best meet organizational goals. Judi Health values a diverse workplace and celebrates the diversity that each employee brings to the table. We are proud to provide equal employment opportunities to all employees and applicants for employment and prohibit discrimination and harassment of any type without regard to race, color, religion, age, sex, national origin, disability status, medical condition, genetic information, protected veteran status, sexual orientation, gender identity or expression, or any other characteristic protected by federal, state or local laws. By submitting an application, you agree to the retention of your personal data for consideration for a future position at Judi Health. More details about Judi Health's privacy practices can be found at*********************************************

About Judi Health Judi Health is an enterprise health technology company providing a comprehensive suite of solutions for employers and health plans, including: Capital Rx, a public benefit corporation delivering full-service pharmacy benefit management (PBM) solutions to self-insured employers, Judi Health, which offers full-service health benefit management solutions to employers, TPAs, and health plans, and Judi, the industry's leading proprietary Enterprise Health Platform (EHP), which consolidates all claim administration-related workflows in one scalable, secure platform. Together with our clients, we're rebuilding trust in healthcare in the U.S. and deploying the infrastructure we need for the care we deserve. To learn more, visit **************** Location: Remote (For Non-Local) or Hybrid (Local to NYC area) Position Responsibilities: Oversee a dynamic team of pharmacy technicians engaged in the prior authorization process. Analyze available data to provide prior authorization staffing, workflow, and system enhancement recommendations to maximize team agility and performance. Actively participate in the prior authorization technician metric and quality goal setting process. Generate and deliver comprehensive reports on prior authorization technician metrics to both internal and external stakeholders. Assist the talent acquisition team in the hiring, evaluation, training, and onboarding of new employees. Investigate/resolve escalated issues or problems from team members, clients, and other internal teams. Key stakeholder in ensuring the prior authorization review platform is optimized for technician functions. Maintain relationships with external Independent Review Organizations and clinical resource vendors. Support the training and growth of both new and existing staff members in adherence to proper procedures. Collaborate with prior authorization leadership to develop process improvements and support long-term business needs, recommend new approaches, policies, and procedures to influence continuous improvements in department's efficiency and help establish best practices for conflict resolution while actively participating in problem identification and coordinate resolutions between appropriate parties. Assists with in other responsibilities, projects, implementations, and initiatives as needed in accordance with the policies and procedures established within the department. Prepare prior authorization requests received by validating prescriber and member information, level of review, and appropriate clinical guidelines. Maintain compliance with local, state, and federal laws, in addition to established organizational standards. Proactively obtains clinical information from prescribers, referral coordinators, and appropriate staff to ensure all aspects of clinical guidelines are addressed for pharmacist review. Triage phone calls from members, pharmacy personnel, and providers by asking applicable drug and client specific clinical questions. Follow all internal Standard Operating Procedures and adhere to HIPAA guidelines and Company policies Required Qualifications: Active, unrestricted, National Certified Pharmacy Technician (CPhT) license required Bachelor's or Associate's degree is preferred 4+ years of PBM or Managed Care pharmacy experience required Proficient in Microsoft Office Suite with emphasis on Microsoft Excel and PowerPoint Strong clinical background required Excellent communication, writing, and organizational skills Ability to multi-task and collaborate in a team with shifting priorities Preferred Qualifications: 2+ years of regulated market prior authorization operations experience or knowledge of how to operationalize regulated market requirements Previous prior authorization operations leadership experience Salary Range$80,000-$90,000 USD All employees are responsible for adherence to the Capital Rx Code of Conduct including the reporting of non-compliance. This position description is designed to be flexible, allowing management the opportunity to assign or reassign duties and responsibilities as needed to best meet organizational goals. Judi Health values a diverse workplace and celebrates the diversity that each employee brings to the table. We are proud to provide equal employment opportunities to all employees and applicants for employment and prohibit discrimination and harassment of any type without regard to race, color, religion, age, sex, national origin, disability status, medical condition, genetic information, protected veteran status, sexual orientation, gender identity or expression, or any other characteristic protected by federal, state or local laws. By submitting an application, you agree to the retention of your personal data for consideration for a future position at Judi Health. More details about Judi Health's privacy practices can be found at*********************************************

Our organization operates several multi-disciplinary ambulatory care centers throughout New York City that were created to serve our Union members and their families. We offer Primary Care, Dental, Radiological, Vision, Mental Health, and other Specialist services at our facilities at no charge to our Union members, removing the financial roadblock that many people face when trying to obtain quality medical care. We are looking for a highly reliable Oral Surgery Assistant for our Midtown Dental Center (based out of Manhattan) to help in our mission of providing top notch dental services to our Union members. DUTIES AND RESPONSIBILITIES: Prepares operatory room, instruments and additional supplies for the surgical procedure. Greets and escorts patient into operatory room and prepares them for the Oral Surgeon/Periodontist by explaining to the patient the procedure and addressing any concerns. Assists the Oral Surgeon/Periodontist during the surgery by anticipating their needs and providing the necessary instruments/supplies, suctioning, irrigating and charting patient, as directed by the Oral Surgeon/Periodontist. Monitors vital signs and anesthesiology levels for the patient's well-being during the procedure. Provides post-operative explanations and education to the patient, as instructed. Escorts patient to the reception area when the procedure is completed; provides assistance when needed. May arrange for follow-up visit for the patient, if necessary. Cleans patient area of operatory room, removing instruments and supplies and ensuring that the room is ready for the next patient. Discards disposable supplies and instruments and performs autoclave testing. Mounts and takes X-rays when needed. Takes and formats Cone Beam CTs. Takes notes and documents process for the Oral Surgeon/Periodontist as needed. Tracks supply inventory and orders additional materials, as necessary. Contributes to team effort. Provides excellent customer service. Performs other duties, as assigned. EDUCATION AND EXPERIENCE: High School diploma or GED. Completion of Dental Assistant program. Minimum 2 years prior dental office experience assisting in oral surgeries, bone grafting and implants. KNOWLEDGE, SKILLS AND ABILITIES: Knowledge of various surgical procedures, such as Extractions, Frenectonomy, Tori Removal, Cyst Removal, Aveoloplasty, Incision and Drainage, Tumor Removal, Placement of Dental Implants, Guided Tissue Regeneration, bone grafting at time of extractions - socket preservation, bone grafting to repair a defect around existing implant, bone grafting in conjunction with removal of a failing implant, bone grafting for ridge augmentation. Ability to work well under pressure while handling multiple tasks. Exceptional listening and communication skills. Detail oriented. Highly organized. Displays/maintains professional behavior at all times. COMPENSATION AND BENEFITS: Medical, Dental, and Vision health benefits at no cost to all benefits-eligible employees and their eligible dependents Paid Time Off (Vacation, Personal, Sick days, and 12 paid Holidays) 401(k) Plan Life Insurance Tuition Reimbursement Member's Health Assistance Program Pre-Paid Legal Services

Vouch is the risk advisor that powers ambition. We're a tech-enabled insurance advisory and brokerage purpose-built for growing companies in technology, life sciences, and professional services. Our clients are ambitious leaders building complex businesses, and we help them manage risk with tailored advice, smart coverage, and responsive service. Backed by over $200M from world-class investors, Vouch combines deep industry expertise with AI-powered tools to deliver a better insurance experience. Our digital workflows reduce friction, speed up decisions, and give our clients the confidence to move faster. Why should you join our team and Vouch? Not only is this an exciting and growing team where you can drive a real impact on our operational scalability, but Vouch is also the preferred insurance provider to customers of Y Combinator, Brex, Carta, and WeWork. We're a quickly growing startup that believes in transparency and acknowledgment with our team members and cultivating a values‑driven company. Our values are “Be Client Obsessed”, “Own it together”, “Act with integrity and empathy”, “Stay Curious and Grow”, and “Empower People.” What does a work environment look like at Vouch? This role will be based near one of our hub offices in Chicago, New York or San Francisco. We require the team members to be in the office at least three days per week (Tuesday, Wednesday and Thursday) to foster close collaboration and team building. Role Responsibilities: As a member of the Early Stage Advisor Team, you will be responsible for ensuring our clients have a great experience through the sales and onboarding process. Insurance Advisors interact directly with our clients through email, video calls, and other communication tools to advise them on the appropriate coverages for their companies and help them satisfy third party contract requirements for coverage. We pride ourselves on making things fast, easy, and tailored for our customers. Some of our best customer feedback is about our amazing customer experience and service. You'll be responsible for helping us scale that reputation while also playing a key part in the growth and expansion of our team through the introduction of new products, processes, and technology. What you'll do: Establish trusted relationships with our customers, ensuring they are comfortable with and able to utilize the tools/services available through the Vouch platform Assess our clients' risk profiles, advise them on appropriate risk management best practices as a licensed professional, and assist with the purchase of coverage Manage the client lifecycle from application submission through bind with a suite of carrier partners, including online carrier portals Construct and present customized insurance proposals to clients Plan and execute daily sales activities such as conducting video calls with clients, responding to emails, and maintaining appropriate documentation in our CRM Deliver consistent and timely responses, follow-through, and follow-up in response to client requests and issues Maintain a healthy pipeline and conduct pipeline reviews with your manager About you: 2+ years of sales, brokerage, customer service, or other client-facing experience - within the insurance industry preferred Strong communication and organizational skills Able to be agile and thrive in a fast‑paced environment Possesses competitive drive to outperform peers and continuously improve hard and soft skills Dependable, positive, and detail‑oriented with excellent follow‑through skills Active/Current Property and Casualty License or obtained within 30 days of start date Ability to drive success through ambiguous and complex situations Takes initiative to problem solve when meeting resistance Nice to have: Knowledge of Commercial P&C coverage lines Exposure to and passion for early‑stage startups and/or high growth environments Experience working within a CRM and multiple communication tools (Salesforce, ZenDesk, etc.) Prior experience in a quota‑carrying role with responsibility for achieving individual quantitative goals Vouch provides several benefits to help you bring your best self to work: 💰 Competitive compensation and equity packages ⚕️ Health, dental, and vision insurance 🪷 Wellness allowance 📚 Company‑sponsored personal and professional development 🏫 L&D: Partnerships with Ethena and monthly Lunch & Learns 🧘 Wellbeing: access to many wellbeing perks, including Peloton, Fetch, OneMedical, Headspace care+, etc. 🤗 Caregiver Support: company seed into the dependent care FSA and company‑sponsored Care.com membership. 📊 Regular performance reviews: Vouch conducts regular performance discussions with all team members, offering goal setting and check‑ins, development discussions, and promotion opportunities. What to expect in a typical interview process: *(Please note these steps may vary slightly depending on the role)* 30‑minute phone call with our recruiting team 30‑45 minute video interview with the hiring manager Meet the team! 30‑45 min 1:1 video discussion with 3‑4 team members you'd work closely with in the role Executive chat (role dependent) Compensation philosophy: The OTE for this role is $85,000 - $90,000 per year depending on experience. ($60,000 - $65,000 base + $25,000 variable compensation) Our salary ranges are based on paying competitively for our size and industry and are part of our total compensation package, which also includes benefits and other perks. We also include stock options in all compensation packages and believe all Vouch employees should have the opportunity to become owners in the company. Individual pay decisions are based on a number of factors, including qualifications for the role, experience level, skill set, location, and business need. The base pay range provided is subject to change and may be modified in the future. Vouch believes in putting our people first, and building a diverse team is at the front of everything we do. We welcome people from different backgrounds, experiences, perspectives, and ranges of abilities. We are an equal‑opportunity employer and celebrate the diversity of our growing team. If you require reasonable accommodation to complete this application, interview, complete any pre‑employment testing, or otherwise participate in the employee selection process, please direct your inquiries to *******************. The pay range for this role is: 60,000 - 65,000 USD per year (Chicago Office) #J-18808-Ljbffr

About Judi Health Judi Health is an enterprise health technology company providing a comprehensive suite of solutions for employers and health plans, including: Capital Rx, a public benefit corporation delivering full-service pharmacy benefit management (PBM) solutions to self-insured employers, Judi Health, which offers full-service health benefit management solutions to employers, TPAs, and health plans, and Judi, the industry's leading proprietary Enterprise Health Platform (EHP), which consolidates all claim administration-related workflows in one scalable, secure platform. Together with our clients, we're rebuilding trust in healthcare in the U.S. and deploying the infrastructure we need for the care we deserve. To learn more, visit **************** Location: Remote (For Non-Local) or Hybrid (Local to NYC area or Denver, CO) Position Summary: We are seeking a highly motivated and talented Data Engineer to join our team and play a critical role in shaping the future of healthcare data management. This individual will be a key contributor in building robust, scalable, and accurate data systems that empower operational and analytics teams to make informed decisions and drive positive outcomes. Position Responsibilities: Lead relationship with operational and analytics teams to translate business needs into effective data solutions Architect and implement ETL workflows leveraging CapitalRx platforms and technologies such as Python, dbt, SQLAlchemy, Terraform, Airflow, Snowflake, and Redshift Conduct rigorous testing to ensure the flawless execution of data pipelines before production deployment Identify, recommend, and implement process improvement initiatives. Proactively identify and resolve data-related issues, ensuring system reliability and data integrity Lead moderately complex projects. Provide ongoing maintenance and support for critical data infrastructure, including 24x7 on-call availability Responsible for adherence to the Capital Rx Code of Conduct including reporting of noncompliance. Required Qualifications: Bachelor's degree in Computer Science, Information Technology, or a related field 2+ experience working with Airflow, dbt, and Snowflake Expertise in data warehousing architecture techniques and familiarity with Kimball methodology Minimum 3+ years experience with a proven track record as a Data Engineer, displaying the ability to design, implement, and maintain complex data pipelines 1+ year experience in Python, SQL Capacity to analyze the company's broader data landscape and architect scalable data solutions that support growth Excellent communication skills to collaborate effectively with both technical and non-technical stakeholders A self-motivated and detail-oriented individual with the ability to tackle and solve intricate technical challenges Preferred Qualifications: 1-3 years of experience as a Data Engineer, ideally in the healthcare or PBM sector Advanced proficiency with Airflow, dbt, and Snowflake, coupled with 3+ years of SQL development and Python experience This range represents the low and high end of the anticipated base salary range for the NY-based position. The actual base salary will depend on several factors such as experience, knowledge, and skills, and if the location of the job changes. This position description is designed to be flexible, allowing management the opportunity to assign or reassign duties and responsibilities as needed to best meet organizational goals. Salary Range$120,000-$140,000 USD All employees are responsible for adherence to the Capital Rx Code of Conduct including the reporting of non-compliance. This position description is designed to be flexible, allowing management the opportunity to assign or reassign duties and responsibilities as needed to best meet organizational goals. Judi Health values a diverse workplace and celebrates the diversity that each employee brings to the table. We are proud to provide equal employment opportunities to all employees and applicants for employment and prohibit discrimination and harassment of any type without regard to race, color, religion, age, sex, national origin, disability status, medical condition, genetic information, protected veteran status, sexual orientation, gender identity or expression, or any other characteristic protected by federal, state or local laws. By submitting an application, you agree to the retention of your personal data for consideration for a future position at Judi Health. More details about Judi Health's privacy practices can be found at*********************************************

A leading compensation platform provider in the New York area is looking for experienced engineers to architect scalable machine learning systems. The ideal candidate will have over 5 years of experience in ML model deployment, a solid understanding of ML fundamentals, and expertise in Python. This role is critical in driving revenue growth and evolving technical ML initiatives. The company offers competitive compensation including health benefits, equity, and a flexible work environment. #J-18808-Ljbffr